Provider Demographics
NPI:1750038998
Name:HUME, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 POSTAL CT STE 201
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-4474
Mailing Address - Country:US
Mailing Address - Phone:410-255-4475
Mailing Address - Fax:410-255-6277
Practice Address - Street 1:4231 POSTAL CT STE 201
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-4474
Practice Address - Country:US
Practice Address - Phone:410-255-4475
Practice Address - Fax:410-255-6277
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2785101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)